Ethnomedicinal knowledge, belief and self-reported practice of local inhabitants on traditional antimalarial plants and phytotherapy

Sweet Basil between the Soul and the Table-Transformation of Traditional Knowledge on Ocimum basilicum L. in Bulgaria

The study tracks the utilization of Ocimum basilicum L. (sweet basil)-a garden plant popular for its ritual and ornamental value in the past, that is currently applied in various forms and ways as medicine, food, insect repellent, etc.-in Bulgaria. Previous data for Bulgarian rural home gardens showed a significant number of preserved local landraces; however, it remained unclear how people perceive the large varietal diversity of this species and how the traditions related to its use are preserved. We combined a literature review on the cultural value of sweet basil and the breeding of local genetic resources with an online questionnaire, directed to adult laypeople, that sought to access different aspects of past (recalled) and present use and related knowledge. The identification skills of the participants were tested using images of local plant landraces and foreign varieties. Responses from 220 participants showed that potted "Genovese"-type individual was most frequently identified as sweet basil (89.9%), followed by two examples of local landraces in flower. Participants who grow sweet basil or used it in more varied ways had significantly better identification skills. Ocimum basilicum was most frequently reported as food, while ritual/symbolic use was preserved while devalued during the Communism regime (1945-1989). Food and religious uses were negatively associated in the past, but presently, the tendency is completely reversed. Preferences for the informal exchange of seeds and seed-saving practices were discussed.

In Vitro Effect on Plasmodium falciparum and In Vivo Effect on Plasmodium berghei of Annomaal, an Oily Fraction Obtained from the Seeds of Annona squamosa

Malaria remains a life-threatening health problem and is responsible for the high rates of mortality and morbidity in the tropical and subtropical regions of the world. The increasing threat of drug resistance to available artemisinin-based therapy warrants an urgent need to develop new antimalarial drugs that are safer, more effective, and have a novel mode of action. Natural plants are an excellent source of inspiration in searching for a new antimalarial agent. This research reports a systematic investigation for determining the antimalarial potential of the seeds of A. squamosa. The study shows that the crude seed extract (CSE), protein, saponin, and the oily fractions of the seeds were nontoxic at a 2000 mg/kg body weight dose when tested in Wistar rats, thus revealing high safety is classified as class 5. The oily fraction, Annomaal, demonstrated pronounced antimalarial activity with low IC₅₀ (1.25 ± 0.183 μg/mL) against P. falciparum in vitro. The CSE and Annomaal significantly inhibited the growth of P. berghei parasites in vivo with 58.47% and 61.11% chemo suppression, respectively, while the standard drug artemether showed chemo suppression of 66.75%. Furthermore, the study demonstrated that oral administration of Annomaal at a daily dose of 250 mg/kg/day for 3 days was adequate to provide a complete cure to the P. berghei-infected mice. Annomaal thus holds promise as being patient-compliant due to the shorter treatment schedule, eliminating the need for frequent dosing for extended time periods as required by several synthetic antimalarial drugs. Further studies are needed to determine the active compounds in the oily fraction responsible for antimalarial activity.

Antipyretic Potential of 80% Methanol Extract and Solvent Fractions of Bersama abyssinica Fresen. (Melianthaceae) Leaves Against Yeast-Induced Pyrexia in Mice

Introduction

Since fever is a complicated physiological reaction to an infection or aseptic stimulus, finding safer solutions that are more potent and derived from plants is essential to resolving this issue. Bersama abyssinica (Melianthaceae) is traditionally used to treat fever, though this has yet to be proven scientifically.

Objective

The present study aimed to assess the antipyretic potential of leaf extract and solvent fractions of B. abyssinica.

Methods

The antipyretic activities of crude extract and solvent fractions of B. abyssinica leaves were evaluated using a yeast-induced pyrexia model at three different dose ranges (100mg/kg, 200mg/kg, and 400mg/kg) methanol extract as well as chloroform, ethyl acetate, and aqueous fractions to mice showing an increase in temperature of ≥0.5 °C. The rectal temperature of each mouse was recorded using a digital thermometer. To analyze the data, SPSS version 20 and one-way ANOVA followed by Tukey's HSD post hoc test to compare results between groups were utilized.

Results

The crude extract demonstrated significant antipyretic potential (P<0.05 by 100 mg/kg and 200 mg/kg as well as P<0.01 by 400 mg/kg), with a maximum of 95.06% reduction in rectal temperature at 400 mg/kg, comparable to 98.37% at 2.5 hours by the standard drug. Similarly, all doses of the aqueous fraction, as well as 200 mg/kg and 400 mg/kg doses of the ethyl acetate fractions, resulted in a significant (P<0.05) reduction in rectal temperature when compared to the corresponding value of the negative control group.

Conclusion

Extracts of B. abyssinica leaves were found to have a significant antipyretic effect. Thus, the use of the plant for pyrexia in traditional settings has scientific ground.

Household perception and infestation dynamics of bedbugs among residential communities and its potential distribution in Africa

Bedbugs have experienced an extraordinary upsurge in the recent past across the world. This cross-sectional study aimed to explore the community perception of the pest outbreaks, the population dynamics, and dispersal patterns under different habitat systems. A survey was conducted within communities in nine counties in Kenya, where geographical coordinates of the sites of bedbug presence were recorded and maximum entropy distribution modelling (MaxEnt) was used to map and predict the potentially suitable habitat, while system thinking and system dynamics approach with Vensim PLE 8.0.9 software was applied to implement bedbug infestation dynamics. Our results indicated that majority of the respondents had ample knowledge on bedbugs and were concerned about the physico-psychologic and socio-economic health effects. Spatial distribution analysis showed regions in Kenya with optimal to suitable for bedbug occurrence in the whole country, and similar results were found at continental level across Africa. Furthermore, infestation dynamics results showed a rapid mobility of bedbug from one house to another. In terms of management strategies, the models showed that the combination of chemical with other control methods was considerably much more effective compared to the use of chemical approach only, appointing integrated pest management strategy as a better intervention approach in controlling the pest.

Ethnobotany of traditional medicinal plants and associated indigenous knowledge in Dawuro Zone of Southwestern Ethiopia

BACKGROUND

The study aimed at documenting the indigenous and local knowledge and use of traditional medicinal plants for treating human and livestock ailments in Dawuro Zone of Ethiopia.

METHODS

A survey was conducted among traditional healers and native administrators through discussion, interviews, and field observations. The snowball sampling technique was used to select 384 traditional healers in purposefully selected 50 villages spanning seven districts for face-to-face individual interviews. The chi-square test was applied to establish associations between traditional healers' demographics, the distance between the village site and the nearest natural forest and a health center, and SPSS V.20 software was used for the analysis.

RESULTS

The traditional healers of the study area reported the use of 274 traditional medicinal plant species belonging to 217 genera and 82 families. Asteraceae (11.68%), Fabaceae (9.49%), and Lamiaceae (9.12%) were the foremost frequently used families. Herb species (54.8%) and leaves (65%) were predominantly sourced from the wild environment. The quantity of medicinal plants used (x² = 278.368, df = 20, P = 0.000) and years of (experience in) traditional healing using herbs (x² = 76.358, df = 10, P = 0.000) varied with distance from the natural forests. The service charge for healing had strong positive association (x² = 24.349, df = 5, P = 0.000) with healer's age (x² = 309.119, df = 184, P = 0.000) and educational level (x² = 851.230, df = 598, P = 0.000) with distance of traditional healer's residence from the medical institution. The agricultural activities, urbanization, low or no charge for the healing service, the secrecy and oral transfer of the knowledge, and the demand for medicinal and other multiple purposes species were some of the factors threatening the resource and the associated knowledge as well as the service in the study area.

CONCLUSION

There are diversified traditional medicinal plants applied for healthcare of the community and domestic animals of the study area. The source of remedies mostly depends on herbs of natural forests, and the leaf was the most frequently used plant part. Developing conservation intervention and sustainable systems of utilization is needed for multipurpose medicinal plants. Finally, integrating with modern system and formalizing, legalizing, and capacitating the traditional medicine practitioners are needed for access of primary healthcare systems to rural communities.

Ethnobotanical study of traditionally used medicinal plants of Pauri district of Uttarakhand, India

ETHNOPHARMACOLOGICAL RELEVANCE

The indigenous knowledge of medicinal plants is important part of primary health care system in almost every society, especially the far-flung areas. These areas, one of the last storehouses of traditional knowledge are under the constant threat of losing this valuable information as it moves from one generation to another through word of mouth. Modernization, migration, education, and changing socio-economic status of people also affect the perpetuality of traditional knowledge. Therefore, time-to-time updation of information regarding the ethnomedicinal plants must be carried out so that any addition to the traditional knowledge is recorded and further phytochemical and pharmacological studies may be conducted for developing new drugs.

AIM OF THE STUDY

The study aimed at documenting the traditional knowledge and practices about the medicinal plants used by the inhabitants of Pauri district of Uttarakhand. Besides, the study strives to identify plants for future phytochemical and pharmacological studies.

MATERIAL AND METHODS

The information was collected through semi-structured questionnaire from 98 informants distributed in 15 villages of Pauri. The data was analyzed for use-reports (UR), frequency of citation (FC) and informant consensus factor (F_IC).

RESULTS

In the present study, total 236 species belonging to 80 families and 188 genera were found to treat 82 ailments. Asteraceae (23 species), Rosaceae (16 species) and Lamiaceae (13 species) were the most represented families. Correlation and regression analysis between the local flora and present study reveals that Poaceae, Fabaceae, and Asteraceae were the main outlier species having more representatives in local flora than medicinally important species. Herbs (57.2%) were the most frequently used life forms, and leaves (24.5%) the most commonly utilized plant parts. All the plants were collected from the natural resources and none of them was under cultivation. Nearly 76% of the total drugs were administered orally. The informants divulged 1556 use-reports. The most utilized species based on frequency of citation were Urtica dioica L. (44), Bergenia ciliata Haworth (38), Viola canescens Wall. (38), Rhododendron arboretum Smith (32), and Ocimum tenuiflorum L. (30). All the disorders were grouped into 13 ailment categories based on ICPC-2 classification. The main ailment categories as per Informant Consensus Factor (F_IC) were digestive (F_IC, 0.83), urological (F_IC, 0.83) and cardiovascular (F_IC, 0.81) disorders. A comparative analysis between the present and other local and regional studies show that as many as 13 species were new record for the state of Uttarakhand.

CONCLUSION

The inhabitants of Pauri have good knowledge of medicinal plants. Although the therapeutic value of most of the preferred medicinal plants has already been validated, some medicinal plants lack proper scientific validation. We recommend further phytochemical investigations and pharmacological validations of Begonia picta Smith, Citrus pseudolimon Tanka, Cotoneaster rotundifolia Wall., Heracleum canescens Lindl., Parochetus communis Buch-Ham., Pittosporum napaulense DC., and Plantago erosa Wall.

Medicinal Plants Used to Manage Human and Livestock Ailments in Raya Kobo District of Amhara Regional State, Ethiopia

Plant-based traditional medicine is practiced in Raya Kobo district, Amhara Regional State, Northeastern Ethiopia, to manage different human and livestock ailments. However, the formal ethnobotanical survey that documented such knowledge is lacking. Therefore, the aim of this study was to document the traditional knowledge on the use of medicinal plants to manage human and livestock ailments in the district. The study was conducted from January to July 2017 in five purposefully selected kebeles of the district. Ethnobotanical data were collected mainly using semistructured interviews conducted with 150 informants. In the five kebeles, 30 informants (15 males and 15 females) were selected using the stratified random sampling method from a list of traditional practitioners and knowledgeable individuals. Data were analyzed by employing descriptive and inferential statistical methods. The study documented a total of 91 medicinal plant species (distributed in 51 families) used in managing 38 human and 12 livestock ailments. Out of the total recorded plants species, 74 and 17 were used in managing human and livestock ailments, respectively. Leaves were the most frequently used plant parts in the preparation of remedies, accounting for 53.1% of the total preparations. The three most common methods of remedy preparation were grinding/pounding (23.5%), crushing (19.8%), and boiling (14.5%). Preference ranking conducted by selected informants on eight medicinal plants used in treating human febrile illness locally called “mich” revealed that Ocimum urticifolium is the most preferred medicinal plant—an indication of its high potency against the disease, and therefore needs to be prioritized for future scientific investigation. The result of this study demonstrated the rich traditional knowledge and practices in the district on the use of medicinal plants in treating various human and livestock ailments. Deforestation and drought were reported to be the major factors in the district threatening the medicinal plants and the associated knowledge. Thus, concerted efforts have to be made to conserve this important heritage using every possible means.

A review of medicinal plant of Middle East and North Africa (MENA) region as source in tuberculosis drug discovery

Tuberculosis (TB) is a disease that affects one-third of the world's population. Although currently available TB drugs have many side effects, such as nausea, headache and gastrointestinal discomfort, no new anti-TB drugs have been produced in the past 30 years. Therefore, the discovery of a new anti-TB agent with minimal or no side effects is urgently needed. Many previous works have reported the effects of medicinal plants against Mycobacterium tuberculosis (MTB). However, none have focused on medicinal plants from the Middle Eastern and North African (MENA) region. This review highlights the effects of medicinal plants from the MENA region on TB. Medicinal plants from the MENA region have been successfully used as traditional medicine and first aid against TB related problems. A total of 184 plants species representing 73 families were studied. Amongst these species, 93 species contained more active compounds with strong anti-MTB activity (crude extracts and/or bioactive compounds with activities of 0-100 µg/ml). The extract of Inula helenium, Khaya senegalensis, Premna odorata and Rosmarinus officinalis presented the strongest anti-MTB activity. In addition, Boswellia papyrifera (Del) Hochst olibanum, Eucalyptus camaldulensis Dehnh leaves (river red gum), Nigella sativa (black cumin) seeds and genus Cymbopogon exhibited anti-TB activity. The most potent bioactive compounds included alantolactone, octyl acetate, 1,8-cineole, thymoquinone, piperitone, α- verbenol, citral b and α-pinene. These compounds affect the permeability of microbial plasma membranes, thus kill the mycobacterium spp. As a conclusion, plant species collected from the MENA region are potential sources of novel drugs against TB.

Antimalarial Activity of Crude Extract and Solvent Fractions of the Leaves of Bersama abyssinica Fresen. (Melianthaceae) against Plasmodium berghei Infection in Swiss Albino Mice

Background

Treatment of malaria has been compromised by the emergence of drug-resistant parasites. Consequently, novel agents are urgently needed from different sources including from medicinal plants. Thus, the current study aimed at evaluating the antimalarial activity of crude extract and solvent fractions of the leaves of Bersama abyssinica (B. abyssinica) against Plasmodium berghei infection in Swiss Albino mice.

Method

A 4-day suppressive test was employed to evaluate the antimalarial effect of crude extract and solvent fractions against early infection. The curative and prophylactic effects of crude extract and fraction with the highest chemosuppression were further tested by Rane's test and residual infection procedure. Parasitemia, survival time, packed cell volume (PCV), body weight, and rectal temperature of mice were used as evaluation parameters. Windows SPSS version 20 was used to analyze the data and analysis of variance (ANOVA) followed by Tukey's post hoc test was used to compare data between groups.

Results

The crude extract and aqueous fraction significantly (P < 0.05 to 0.001) suppressed parasitemia followed by protection of PCV reduction resulting in prolonging the survival time but failed to protect body weight and rectal temperature reduction in all tested models. The ethyl acetate and chloroform fractions also showed significant chemosuppression and PCV protection in the 4-day suppressive test. The crude extract exhibited a chemosuppression of 49.51%, 57.94%, and 44.11% while the aqueous fraction showed suppression of 47.69%, 51.62%, and 37.07% in 4-day suppressive, curative, and prophylactic tests, respectively, at 400 mg/kg.

Conclusion

The crude extract and fractions showed fairly moderate antimalarial activity, and the finding supports the traditional claims and previous in vitro studies. Thus, this may call for further studies to isolate chemical entities for additional safety and efficacy tests.

Medicinal plant species used by local communities around Queen Elizabeth National Park, Maramagambo Central Forest Reserve and Ihimbo Central Forest Reserve, South western Uganda

ETHNOPHARMACOLOGICAL RELEVANCE

The application of ethnobotanical indigenous knowledge is very important in improving primary healthcare systems among the local communities living around and within protected areas in South Western Uganda. In this area, there are biodiversity endowed Queen Elizabeth National Park (QENP), Maramagambo Central Forest Reserve (MCFR) and Ihimbo Central Forest Reserve (ICFR). Despite the rich floral diversity and cultural heritage, there is no published documentation on the use of medicinal plants in this area. This information can be used as a basis for the selection of medicinal plants for further phytochemical and pharmacological studies.

STUDY AIM

This study identified and documented the use of medicinal plants, plant parts used, and mode of preparation and administration by the local communities living around and within QENP, MCFR and ICFR.

MATERIALS AND METHODS

A cross-sectional study was used to collect data from 202 informants using semi-structured questionnaires, open interviews and field visits. Ethnobotanical data was analyzed using use reports (UR), frequency of citation (FC) and Informant Consensus Factor (F_IC). The plants species were identified by botanists and voucher specimens were deposited.

RESULTS

A total of 302 medicinal plant species were mentioned by informants, out of which only 211 species belonging to 65 families and 165 genera were collected, identified and documented. The remaining 91 species were not available for collection and informants stated that they had become very rare within the study area. Herbs (35.8%) were the main source of herbal medicine. Leaves (60.4%) were the most commonly used plant parts used in the preparation of herbal remedies. Most of the medicinal plants were harvested from the wild, either growing in abundance (41%) or as rare species (21%). The most common mode of administration was oral, while other exceptional modes such as touching with bare hands and sweeping over the affected part were reported for the first time. The medicinal plant species were reported to treat 134 physical ailments, which were grouped into 16 ICPC-2 disease categories. Digestive disorders (854 UR) and general and unspecified disorders (507) scored the highest F_IC value of 0.83. The highest number of medicinal plants (146 plant species) was used for treatment of digestive disorders. Among the species with higher use reports, Gouania longispicata had the highest frequency of citation (FC = 174) and was mentioned to be used to treat 41 physical ailments. The most important ailment treated by Gouania longispicata was allergy with 102 use reports.

CONCLUSIONS

A variety of medicinal plants are used by communities living near protected areas in South Western Uganda. Most species were used in the treatment of digestive disorders, followed by general and unspecified disorders. Much as allergy has not been identified as a major threat by the health sector in Uganda, the study found out that it is one of the prevalent ailments in the study area. While the therapeutic value of some of the documented medicinal plant species, especially those with higher frequency of citation have been scientifically validated, the efficacy and safety of other species with wide application need to be investigated. In this study, we recommend further scientific studies on Gouania longispicata to validate its wide usage in the study area.

Ethnobotanical survey of plants used as repellents against housefly, Musca domestica L. (Diptera: Muscidae) in Budondo Subcounty, Jinja District, Uganda

BACKGROUND

The housefly, Musca domestica L., is a major public health and domestic pest that spoils food and causes irritation and is a vector of many infectious disease pathogens of medical and veterinary importance. Currently, its control relies largely on chemical pesticides. However, the adverse health and environmental effects of pesticides, risk of development of insect resistance, and bioaccumulation through the food chain emphasize the need to search for environmentally friendly alternatives. This study aimed at documenting traditional knowledge about plants used as repellents against the houseflies by the people of Budondo Subcounty, Uganda.

METHODS

An ethnobotanical survey was conducted between November 2016 and June 2017. A total of 372 household members were interviewed on knowledge and use of traditional insect repellents, through face-to-face interviews guided by semi-structured questionnaires administered in nine villages in Budondo Subcounty.

RESULTS

Overall, only 24.5% of the respondents had ample knowledge about insect repellent plants. A chi-square analysis shows a significant association between respondents' knowledge of insect repellent plants and age, educational status, occupation, religion, and marital status although not with gender. Overall, eight plants from seven families and eight genera were mentioned as repellents. The growth forms encountered were tree, shrub, and herb. Plants that were commonly mentioned by respondents were Cupressus sempervirens L. (16.9%), followed by Lantana camara L.(16.1%), Eucalyptus globulus Labill. (11.0%), Carica papaya L. (8.6%), Cymbopogon citratus (de Candolle) Stapf (4.3%), Mentha × piperita L. (2.4%), Azadirachta indica A. Juss (2.2%), and Ocimum kilimandscharicum Gürke (0.8%) in descending order. Leaves were the most commonly used plant part (76.9%), followed by the stem/bark (19.8%), flowers (2.2%), and root (1.1%). Burning of the plant materials in order to generate smoke was the most popular method of application.

CONCLUSIONS

This study has shown that there are many locally available plants in use by the people of Budondo Subcounty with potency for repelling houseflies. Further studies are needed to identify bioactive compounds responsible for the repellent activity in the different species which could be promoted as sustainable housefly control tools in these remotely located communities of Budondo. Furthermore, studies on the efficacy of these repellent plants or plant parts and their potential toxicological properties should be considered a priority.

Antimalarial Activity of Plant Metabolites

Malaria, as a major global health problem, continues to affect a large number of people each year, especially those in developing countries. Effective drug discovery is still one of the main efforts to control malaria. As natural products are still considered as a key source for discovery and development of therapeutic agents, we have evaluated more than 2000 plant extracts against Plasmodium falciparum. As a result, we discovered dozens of plant leads that displayed antimalarial activity. Our phytochemical study of some of these plant extracts led to the identification of several potent antimalarial compounds. The prior comprehensive review article entitled “Antimalarial activity of plant metabolites” by Schwikkard and Van Heerden (2002) reported structures of plant-derived compounds with antiplasmodial activity and covered literature up to the year 2000. As a continuation of this effort, the present review covers the antimalarial compounds isolated from plants, including marine plants, reported in the literature from 2001 to the end of 2017. During the span of the last 17 years, 175 antiplasmodial compounds were discovered from plants. These active compounds are organized in our review article according to their plant families. In addition, we also include ethnobotanical information of the antimalarial plants discussed.

Southeast Asian Medicinal Plants as a Potential Source of Antituberculosis Agent

Despite all of the control strategies, tuberculosis (TB) is still a major cause of death globally and one-third of the world's population is infected with TB. The drugs used for TB treatment have drawbacks of causing adverse side effects and emergence of resistance strains. Plant-derived medicines have since been used in traditional medical system for the treatment of numerous ailments worldwide. There were nine major review publications on antimycobacteria from plants in the last 17 years. However, none is focused on Southeast Asian medicinal plants. Hence, this review is aimed at highlighting the medicinal plants of Southeast Asian origin evaluated for anti-TB. This review is based on literatures published in various electronic database. A total of 132 plants species representing 45 families and 107 genera were reviewed; 27 species representing 20.5% exhibited most significant in vitro anti-TB activity (crude extracts and/or bioactive compounds 0–<10 µg/ml). The findings may motivate various scientists to undertake the project that may result in the development of crude extract that will be consumed as complementary or alternative TB drug or as potential bioactive compounds for the development of novel anti-TB drug.

Survey of Medicinal Plants Used to Treat Malaria by Sidama People of Boricha District, Sidama Zone, South Region of Ethiopia

In Ethiopia, malaria control has been complicated due to resistance of the parasite to the current drugs. Thus, new drugs are required against drug-resistant Plasmodium strains. Historically, many of the present antimalarial drugs were discovered from plants. This study was, therefore, conducted to document antimalarial plants utilized by Sidama people of Boricha District, Sidama Zone, South Region of Ethiopia. An ethnobotanical survey was carried out from September 2011 to February 2012. Data were collected through semistructured interview and field and market observations. Relative frequency of citation (RFC) was calculated and preference ranking exercises were conducted to estimate the importance of the reported medicinal plants in Boricha District. A total of 42 antimalarial plants belonging to 27 families were recorded in the study area. Leaf was the dominant plant part (59.0%) used in the preparation of remedies and oral (97.4%) was the major route of administration. Ajuga integrifolia scored the highest RFC value (0.80). The results of this study revealed the existence of rich knowledge on the use of medicinal plants in the study area to treat malaria. Thus, an attempt should be made to conserve and evaluate the claimed antimalarial medicinal plants with priority given to those that scored the highest RFC values.

Larvicidal efficacy of Ethiopian ethnomedicinal plant Juniperus procera essential oil against Afrotropical malaria vector Anopheles arabiensis (Diptera: Culicidae)

OBJECTIVE

To screen the essential oil of Juniperus procera (J. procera) (Cupressaceae) for larvicidal activity against late third instar larvae of Anopheles arabiensis (An. arabiensis) Patton, the principle malaria vector in Ethiopia.

METHODS

The essential oil of J. procera was evaluated against the larvae of An. arabiensis under the laboratory and semi-field conditions by adopting the World Health Organization standard protocols. The larval mortality was observed for 24 h of post exposure.

RESULTS

The essential oil of J. procera has demonstrated varying degrees of larvicidal activity against An. arabiensis. The LC50 and LC90 values of J. procera were 14.42 and 24.65 mg/L, respectively under the laboratory conditions, and from this data, a Chi-square value 6.662 was observed to be significant at the P=0.05 level. However, under the semi-field conditions the LC50 and LC90 values of J. procera were 24.51 and 34.21 mg/L, respectively and a Chi-square value 4.615 was significant at the P=0.05 level. The observations clearly showed that larval mortality rate is completely time and dose-dependent as compared with the control.

CONCLUSIONS

This investigation indicates that J. procera could serve as a potential larvicidal agent against insect vector of diseases, particularly An. arabiensis. However further studies are strongly recommended for the identification of the chemical constituents and the mode of action towards the rational design of alternative promising insecticidal agents in the near future.

The counterfeit anti-malarial is a crime against humanity: a systematic review of the scientific evidence

BACKGROUND

The counterfeiting of anti-malarials represents a form of attack on global public health in which fake and substandard anti-malarials serve as de facto weapons of mass destruction, particularly in resource-constrained endemic settings, where malaria causes nearly 660,000 preventable deaths and threatens millions of lives annually. It has been estimated that fake anti-malarials contribute to nearly 450,000 preventable deaths every year. This crime against humanity is often underestimated or ignored. This study attempts to describe and characterize the direct and indirect effects of counterfeit anti-malarials on public health, clinical care and socio-economic conditions.

METHODS

A search was performed using key databases, WHO documents, and English language search engines. Of 262 potential articles that were identified using a fixed set of criteria, a convenience sample of 105 appropriate articles was selected for this review.

RESULTS

Artemisinin-based combination therapy (ACT) is an important tool in the fight against malaria, but a sizable number of patients are unable to afford to this first-line treatment. Consequently, patients tend to procure cheaper anti-malarials, which may be fake or substandard. Forensic palynology reveals that counterfeits originate in Asia. Fragile drug regulations, ineffective law-enforcement agencies and corruption further burden ailing healthcare facilities. Substandard/fake anti-malarials can cause (a) economic sabotage; (b) therapeutic failure; (c) increased risk of the emergence and spread of resistant strains of Plasmodium falciparum and Plasmodium vivax; (d) an undermining of trust/confidence in healthcare stakeholders/systems; and, (e) serious side effects or death.

CONCLUSION

Combating counterfeit anti-malarials is a complex task due to limited resources and poor techniques for the detection and identification of fake anti-malarials. This situation calls for sustainable, global, scientific research and policy change. Further, responsible stakeholders in combination with the synthesis and supply of next generation malaria control tools, such as low-cost anti-malarials, must promote the development of a counterfeit-free and malaria-free future.

Insect repellent plants traditional usage practices in the Ethiopian malaria epidemic-prone setting: an ethnobotanical survey

BACKGROUND

The usage of insect repellent plants (IRPs) is one of the centuries-old practices in Africa. In Ethiopia, malaria remains a leading cause of morbidity and mortality, subsequently the majority of people have a tendency to apply various plants as repellents to reduce or interrupt the biting activity of insects. Accordingly, this survey was undertaken to document and evaluate knowledge and usage practices of the local inhabitants on IRPs in the malaria epidemic-prone setting of Ethiopia.

METHODS

Ethnobotanical survey was conducted between January and May 2013. Selected 309 household members were interviewed by administering pre-tested questionnaire on knowledge and usage practices of repellent plants, in Bechobore Kebele, Jimma Zone, Ethiopia.

RESULTS

Overall, 70.2% (217/309) and 91.8% (199/217) of the respondents have had ample awareness and usage practices of repellent plants, respectively. Informants cited about twenty-two plant species as repellents and also indicated that these plants are useful(85.5%), accessible(86.8%), and affordable(83.9%) too. Residents mainly applying dried leaves [93.9% (187/199)] by means of burning/smouldering [98.9% (197/199)] with the traditional charcoal stove to repel insects, primarily mosquitoes. About 52.8% (105/199) of the informants using approximately 15g of dried plant-materials every day. A Chi-square analysis shows statistically a significant link between the knowledge on repellent plants and gender as well as average monthly income although not with the age of the respondents. Nevertheless, the repellent plant usage custom was not significantly associated with gender, monthly income, and age of the informants.

CONCLUSION

Though most of the people have had an adequate awareness still a sizable faction of society suffers with deprivation of IRPs knowledge and usage practices. Therefore, this study calls for more surveys to conserve the existing indigenous knowledge and cultural practices. It could lay the first stone to develop the next generation cost-effective vector control tools in the near future.

Mixed Methods in CAM Research: A Systematic Review of Studies Published in 2012

Background. Mixed methods research uses qualitative and quantitative methods together in a single study or a series of related studies. Objectives. To review the prevalence and quality of mixed methods studies in complementary medicine. Methods. All studies published in the top 10 integrative and complementary medicine journals in 2012 were screened. The quality of mixed methods studies was appraised using a published tool designed for mixed methods studies. Results. 4% of papers (95 out of 2349) reported mixed methods studies, 80 of which met criteria for applying the quality appraisal tool. The most popular formal mixed methods design was triangulation (used by 74% of studies), followed by embedded (14%), sequential explanatory (8%), and finally sequential exploratory (5%). Quantitative components were generally of higher quality than qualitative components; when quantitative components involved RCTs they were of particularly high quality. Common methodological limitations were identified. Most strikingly, none of the 80 mixed methods studies addressed the philosophical tensions inherent in mixing qualitative and quantitative methods. Conclusions and Implications. The quality of mixed methods research in CAM can be enhanced by addressing philosophical tensions and improving reporting of (a) analytic methods and reflexivity (in qualitative components) and (b) sampling and recruitment-related procedures (in all components).

Ethnopharmacological study of medicinal plants used in the treatment of CNS disorders in Sinai Peninsula, Egypt

ETHNOPHARMACOLOGICAL RELEVANCE

To provide ethnopharmacological information on the use of medicinal plants for central nervous system (CNS) disorders in the Sinai Peninsula region (Egypt). To collect, analyze and evaluate the ethnobotanical knowledge about these medicinal plants in the Sinai Peninsula region with 61,000 km (2) and 379,000 inhabitants.

METHODOLOGY

Field work was concluded between March 2006 and May 2011, using semi-structured questionnaire with 700 informants (mean age: 59; 100% men) from 117 settlements of 17 Bedouin tribes. Transects walks in wild herbal plant collection areas and bibliographical review on the collected plants were also conducted. The Interview/ Inhabitant index (I/P), relative importance value of the species and informant consensus factor (FIC) were calculated.

RESULTS

More than 300 species were traditionally used in folk medicine in the Sinai Peninsula; 101 of these species belonging to 40 families were reported as useful in different CNS disorders. Only 5 species are endemic of the studied area. All different part plants were used, leaves and aerial parts being the most frequent. Most of the remedies were prepared as infusion or decoction, while oral administration was the most common way to be used. Gastrointestinal (67.3%) and respiratory disorders (42.57%) were also reported as frequently treated by Bedouins with herbal remedies.

CONCLUSIONS

Only a few species were found where the traditional use is supported by pharmacological studies (Acacia nilotica, Achillea fragrantissima, Ajuga iva or Mentha longifolia). No bibliographical references in the scientific literature were found for 22 species (21.78%); finally, several studies were published with different pharmacological activities than those provided by Bedouins.

Role of traditional antimalarial plants in the battle against the global malaria burden

Malaria continues to be a major global public health problem with 3.3 billion people at risk in 106 endemic countries. Globally, over 1000 plants have been used as potential antimalarials in resource-poor settings due to fragile health-care systems and lack of accessibility and affordability of artemisinin-based combination therapies (ACTs). Although many believe that the use of medicinal plants that have folklore reputations for antimalarial properties is relatively safe, many herbs may be potentially toxic due to their intrinsic adverse side effects. Therefore, herbal-derived remedies require powerful and deep assessment of their pharmacological qualities to establish their mode of action, safety, quality, and efficacy. In addition, the evolution of drug resistance also demands new antimalarial agents. This can be achieved by forming a vibrant antimalarial discovery pipeline among all stakeholders, including traditional healers, ethnobotanists, scientists, entomologists, pharmacists, and research institutions, for the isolation and characterization of the bioactive compounds with the ultimate objective of finding novel modes of action antimalarial compounds that can be used to fight against drug-resistant malarial parasites.

Ethnopharmacology guided screening of traditional Indian herbs for selective inhibition of Plasmodium specific lactate dehydrogenase

ETHNOPHARMACOLOGICAL RELEVANCE

Medicinal plants traditionally used to treat malaria can provide quality leads towards identifying novel anti-malarial drugs. Here we combined this approach with target based drug discovery and explored Plasmodium specific lactate dehydrogenase (LDH) inhibitory activity of 8 Indian plants which are ethnically used to treat malaria.

METHODS

LDH from Indian Plasmodium falciparum and Plasmodium vivax strains, were cloned and expressed in Escherichia coli, followed by purification of recombinant enzymes (rPfLDH and rPvLDH respectively). Extracts of 8 plants in different organic and aqueous solvents, were screened for their inhibitory activity on rPfLDH, rPvLDH and mammalian LDHs. Phyllanthus amarus aqueous extract was further tested for in vitro parasiticidal activity.

RESULTS

Aqueous extract of Phyllanthus amarus Schum. and Thonn. and chloroform extract of Murraya koenigii (L.) Spreng. exhibited profound and exclusive inhibitory effect on Plasmodium falciparum LDH (IC(50)=11.2 μg/ml ± 0.4) and Plasmodium vivax LDH (IC(50)=6.0 μg/ml ± 0.6) respectively. Moreover, Phyllanthus amarus aqueous extract also demonstrated antiplasmodial activity in vitro, on Chloroquine sensitive and resistant strains of Plasmodium falciparum (IC(50)=7.1 μg/ml ± 0.5 and 6.9 μg/ml ± 0.7 respectively).

CONCLUSION

Target specific screening of traditional herbs used in malaria treatment has proffered Phyllanthus amarus and Murraya koenigii extracts as hits which can optimistically provide novel antimalarial drugs.

Traditional Medicinal Plants

Despite recent scientific advancement and globalization, the system of traditional medicine and complementary/alternative medicine is considered as a primary health care modality in the resource-constrained health care settings. Herbal medicinal system has been postulated and established through empirical observation and trial and error experiments since time immemorial to maintain good health and alleviate ailments and diseases. Earlier, the importance of traditional medicinal plants and phytotherapy have often been disregarded and undervalued. Presently revitalization and renewed interest on traditional medicinal plants has been observed among the public and scientific community. However, several daunting challenges need to be flagged effectively and immediately for the promotion of traditional medicinal plants. The collaborative efforts of ethnobotanists, anthropologists, pharmacists, and physicians could be a workable strategy to evaluate and validate the usage of traditional medicinal plants with the modern scientific methods and innovative techniques. Furthermore, conducting clinical trials to assess their efficacy and human safety is imperative and inevitable.